PCS Donation Request Form
Should your organization's request be approved, you will be contacted within 14 business days from the time your request was received. Thank you!
Organization Name
Your answer
Is this organization a 501c3?
If so, please answer the following two questions. If approved, we may ask for more details later.
What is the exact name listed on your 501c3?
Your answer
What is the exempt number listed on your 501c3?
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip/Postal Code
Your answer
Organization Contact's Name
Your answer
Contact Phone
Your answer
Contact Email
Your answer
Event Name
Your answer
Event Date
MM
/
DD
/
YYYY
What would you like Paul Conway Shields to provide?
Your answer
Please include a description (with a website link if possible) that will help us understand what your event is about and what is included with a donation/sponsorship if applicable.
Your answer
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